Proctored 2019 NGN (REVISED
FULL EXAM).
,1. A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the
following findings should the nurse report to the provider?
a. Hemoglobin 14.8 g/dL
b. Platelet count 60,000/ mm
c. Creatine 0.8 mg/ dL
d. Urine protein concentration 200 mg/24hr
2. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue
using her diaphragm for contraception. Which of the following instructions should the nurse
include?
a. You should use an oil based vaginal lubricant when inserting your diaphragm
b. you should store your diaphragm in sterile water after each use
c. you should keep the diaphragm in place for at least 4 hours after intercourse
d. d. you should have your provider refit you for a new diaphragm
3. A nurse is caring for a client who is receiving prenatal care and is at her 24-week
appointment. Which of the following laboratory tests should the nurse plan to conduct?
a. 1 hour glucose tolerance test
b. rubella titer
c. Group B strep culture
d. blood type and Rh
4. A nurse is caring for a client who has gestational diabetes mellitus. Which of the following
clinical findings should indicate to the nurse the client has hyperglycemia?
a. double vision
b. increased urination
c. Sweating
d. dizziness
5. A nurse is reviewing the laboratory results of a newborn. Which of the following findings
should the nurse report to the provider?
a. Blood glucose 58 mg / DL
b. hematocrit 48%
c. platelets 100,000/ mm 3
d. hemoglobin 16 G / DL
6.
7. A client who is 16 weeks of gestation asks the nurse how to prepare her father to a
younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your
toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date
c. c. you should give your toddler a gift from the baby when she visit you in the
facility
, d. You should place your toddler in timeout if she exhibits regressive Behavior after the
baby is born
8. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying
in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms,
the mother States “ No, the baby is too tired to be held”. Which of the following actions should
the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding
9. A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline
0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication
and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min
10. A nurse is providing teaching to the parents of a newborn about the plastibell
circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and
goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours
11. A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse
include in the plan of care?